Cause Of Insomnia

The National Institute of Health defines insomnia as, “the perception or complaint of inadequate sleep” and classifies it as three types; transient, intermittent and chronic. Most people have suffered from insomnia at one time or other in its transient (one day to a month) or intermittent (occasional) form. Around 10% of the population suffers from chronic insomnia. Elderly persons, menopausal women and pregnant women are more likely to be more affected than others.

Causes of insomnia are classified into three broad categories – life style, physical health disorders and mental health disorders. Life style can be subdivided into what we eat, sleeping environment and sleep schedule. Alcohol, caffeine, nicotine, some allergic foods and medications like decongestants, bronchodilators, anti hypertensives, anti depressants, diuretics, anti epileptics, anti arrhythmic, thyroid medications and histamine H2 inhibitors are known to cause insomnia.

Environmental noise, extreme temperatures, change of sleeping area, uncomfortable bed and insects like mosquitoes are the main environmental factors that prevent sleep. Varying work schedules like shift work, jet lag, long afternoon naps and recreational activities are also causes that upset a good night’s sleep.

Obviously, one cannot fall asleep if in pain due to injury or illness. Sleep specific disorders are obstructive sleep apnea, central sleep apnea, restless leg syndrome, circadian rhythm disorder and periodic limb movement disorder. The diseases that become an underlying cause of insomnia are arthritis, asthma, Parkinson’s diseases, hyperthyroid, prostrate problems, degenerative disease, gastro esophageal reflux, fibromyalgia kidney disease, heart failure and rhinitis. Menopause can cause sleep problems due to hormonal imbalance.

Stress, anxiety, grief, depression, schizophrenia, panic disorder and mania and acute psychosis are psychiatric conditions that cause insomnia. Above all, the worry that one is not getting sufficient sleep is likely to worsen the problem. This, in turn, creates a vicious cycle, which can make the condition serious.

The causes of insomnia are very complex and it is very difficult to pin down to a single or even a few causes. A patient study of behavioral pattern, sleep history chart and if required specialized study with polysomnogram and full co-operation of the family is needed to determine the cause of insomnia.

Black Swan Ballerina Feet

The movie Black Swan and its stars Natalie Portman and Mila Kunis have been nominated for a ton of awards at the Oscars and have already won an award at the recent Golden Globes. However, the most award-worthy stars of this movie were the beaten down feet of Natalie Portman’s character “Nina Sayers” and their ability to keep on dancing with so many issues!!

Dancers are especially subject to injuries because of the thin, relatively unsupportive nature of their footwear. The type seen in the movie are a type of pointe shoe. These shoes allow the dancers to be “standing” completely on the tips of their toes. Just think about how badly walking around on the very tips of your toes would hurt after awhile, and now imagine leaping and spinning around on a hard floor with your foot in this position – Ouch!

According to an article on the complications caused by pointe shoes in ballet, lateral ankle sprains are the most common injury suffered by ballerinas. An example of a lateral sprain appears to occur in “Black Swan” when Nina is practicing her choreography on the tips of her toes, rolls her ankle out and hears a “pop” noise. Pain and swelling in the ankle also occur at this point. This is one example of when Nina may have wanted to call her podiatrist because serious ankle sprains can require surgery for proper healing.

Toenail problems are also commonly seen by dancers and appear in “Black Swan”. Nina’s mother is seen cutting her toenails to a painfully short length which increases the likelihood of developing an   ingrown  toenail. Combine too short nails and the pressure of dancing on the tips of your toes and you’ve got the perfect storm for the corner of the nail to grow into the skin surrounding the nail. This can be very painful and often occurs around the nail of the big toe.  Ingrown  toenails can lead to infection. A podiatrist can alleviate pain caused by the  ingrown  toenail, plan the proper course of treatment for healing of the  ingrown   nail  and infection, and work to prevent future ones from occurring.

When watching this movie, aspiring ballerinas should not think that living with so many painful foot ailments is normal. All athletes (and non-athletes too!) need to recognize that their foot pain can often be relieved to drastically improve the quality of their athletic performance and everyday life by consulting a doctor of podiatric medicine. Nina was clearly CRAZY in more ways than one, but especially for not taking better care of the most important tool of a ballerina: her feet!

Don’t Give Up – Cure Nail Fungus at Home

It is simple to cure nail fungus at home when you have the right medication at your fingertips. You really don’t need to have your treatment done by your doctor; as long as you can be consistent with your medication you’ll find that home treatment is easy and comfortable. Nail fungus is much more common than most people realize and can be quite contagious. If you live in close proximity with your family or have other people living with you, make sure you don’t share towels, shoes, and other personal items. You can avoid passing on the infection from one person to the next. It might not be a good idea to have a mini fungal epidemic at home.

Prevention might be a good idea to cure nail fungus at home when it only started. However, if you have already contracted the infection just keep in mind some basic ideas in order for you to aggravate what you have or to prevent future infections. Whenever you frequent visit public places like the gym (using their shower) or swimming pools, think about wearing slippers or sandals. This way, you prevent the spores that live on the water on the ground from going on your feet. After you finish your activity in any of these places, thoroughly dry your feet.

Another good idea that most people don’t consider when they are trying to cure nail fungus at home is a diet. Things you eat, plays a major role in the treatment of fungal infection. Think about including a diet rich in probiotics (good bacteria). This will enable your body to help fight off the infection. And avoid refined carbs like dairy products and sugar as the fungus feed off of these.

Early treatment is really important in nail fungus infections, not only will be it easier but faster to treat. When your infection is far along the early stages, it might take it longer to heal, and you will definitely need to take stronger medication. This might not be a good option for people with health issues, because the medication can cause serious side effects. Usually, your doctor will prescribe topical nail solutions just like nail varnish that you can apply (on your own) directly on the nail surface. This process does take time as the medication has to seep in slowly into the nailbed. Just be patient and don’t forget to do this every day.

You can choose between prescribed medications or through a natural course with Homeopathic oils. If you have a severe care, you can also combine this topical treatment with oral therapy. It is good on it shown as well, which some patients do as their doctor sees fit. All these treatments can be done on your own to cure nail fungus at home.

Treatment For a Sprained Wrist

A sprained wrist is very painful, especially if you do not rest the hand. If you expect to get full use of your wrist back, make sure you allow it some time to recover from the injury. Following the proper steps, a sprained wrist will quickly recover.

Apply an ice pack to it. Ice your wrist as soon as possible after you sprain it. It will prevent the swelling. An ice pack will work double duty because it numbs and stabilizes. The ice wrap should extend from the hand to the elbow. A too tight wrap is bad for the circulation so make sure you keep it only snug. It is important to put ice on a sprained wrist.

Raise the wrist and arm. Keep your wrist raised with some pillows while you keep the sprain iced. With a sling or cushion, make sure your whole arm stays elevated above the position of your heart. Your arm will need to remain in this state for seventy-two hours or more.

Relax your wrists. It’s important that you give it a rest. Your wrist will require several days to heal, and if you keep demanding that your wrist be fully utilized, the recovery you seek will be prolonged. Make sure you avoid using your sprained wrist for as long as possible, at least a few days if you can manage. Your wrist’s tendons and muscles will better recover with more rest.

Don’t go near the heat at the beginning. It is imperative to keep your sprained and swollen wrist as far away from heat as possible while in the healing process. Heat will make the location become swollen, which means additional pain for your wrist that is already hurting badly. Don’t cozy up to the fire, and in general, try to keep your sprained wrist at body temperature or cooler. Your wrist will continue to swell if exposed to heat so avoid at all costs.

After a few of days, moderate heat will help. After the inflammation recedes from your wrist, some moist heat should provide relief. Make sure the wet towel is warm before applying it.  Apply this to your wrist for a period of thirty minutes. Doing this should alleviate some pain around the sprain location.

Slowly increase the amount you use your wrist. 3-5 days is the average amount of time for your sprained wrist to stop hurting so deeply. Only begin to use your wrist again when you are comfortable, and do it slowly. If you push it too hard, then you are likely to injure it again and make the recovery process longer. When you begin using your wrist, don’t use it to its full potential for the first couple weeks. (You’ll get a feeling for when it’s safe to remove the sling, the ice and the warmth and start using your sprained wrist again – but be sure it is when you no longer feel ache when you employ your wrist).

6 Penis Hazards and How to Avoid Them

The world is generally a pretty safe place for a penis, because most men have a vested interest in keeping it out of harm’s way. As long as a guy provides the right penis care, he can expect to keep his tool in tip-top shape throughout his lifetime. However, there are some pesky dangers that can impact even the most pampered penis. These are just six of those common enemies, along with some effective steps guys can take in order to stay safe.


Pants that close with a zipper are pretty much de rigeur, but the little metal teeth can that most men take for granted can entrap sensitive skin, especially when a guy is getting dressed (or undressed) in a hurry. To keep the penis safe from the bite of a zipper, form-fitting underwear should always be worn under the outer layer of clothing. That way, if a hasty movement goes terribly wrong, cloth will get trapped, not skin.

Enthusiastic Partners

The penis was made for sex, but sometimes, partners can get a little frisky in the heat of the moment, and they can move in quick and unexpected ways just as a man is thrusting. Sudden moves like this can place a rock-hard penis in direct contact with an equally hard bone, and that can lead to bruising and even ruptured connective tissue. While getting zesty can be a lot of fun, staying safe in the bedroom often means being a bit more methodical. Partners who time their movements carefully, and who don’t pull out any surprises, tend to emerge without injuries.

Sports Implements

Staying fit can help to boost the health of the heart, and that’s great for the penis. But, there are a number of sports objects that can damage a guy’s nether regions, including:

– Narrow bike seats

– Flying balls

– Feet and hands of other players

– Ropes, bases or other field barriers

Sometimes, using an athletic supporter with a hard cup can keep things safe down below. These products are designed to take the impact of a direct hit, so the tissues beneath don’t bruise, tear or otherwise break. But not all sports require a cup, and sometimes, they don’t even help. In these situations, men can look for products that are designed to help the penis. Bike seats that are designed for men that shift pressure away from the groin region might help, for example.

Intimate accessories

Cock rings are popular among some men who want to add a little extra zing between the sheets. Because these rings are made to trap blood inside the penis, if they are not worn properly, they can cause swelling, loss of circulation and injury. Men who use these or other accessories should be sure to take them off frequently, allowing circulation to be restored, and should save them for special occasions rather than daily wear to the office.


Trimming up the hair is easy with an electric razor, but these products can also pinch or cut the skin of the penis, and those injuries can happen incredibly quickly. Staying tidy without the fear of cuts might mean using scissors rather than razors. A trim done by hand takes more time to complete, but a little extra time spent on grooming might mean fewer painful cuts and tears in the skin.

Fast-Moving Hands

While outside implements can sometimes cause penis injuries, a man’s own hands can also do an intense amount of damage, particularly if he uses fast motions and no lubricant in order to masturbate. These private moments can result in skin that’s chafed, red and incredibly sore. Using a quality personal lubricant and experimenting with more gentle techniques could help; and for the man who has stressed, roughened penile skin resulting from aggressive handling may find additional benefit from a penis health crème (health professionals recommend Man1 Man Oil). A quality product made with top-notch emollients and skin-friendly nutrients can help to restore sensitivity, improve appearance, and support immune function.

Vitamin D, or Vitamin D Hormone?

Vitamin D deficiency is common in the United States and worldwide. It is known to be important in bone mineral metabolism but now we have information that it does much more.

Vitamins are generally known to be responsible for a single disease and appropriate supplementation should correct the disease. A hormone goes to distant tissues and makes multiple metabolic improvements. That’s vitamin D’s job.

Your levels of vitamin D should be much higher than previously thought. Certainly much higher than noted on the milk carton or vitamin pills in the local drug store. Here is the story for today.

Eight hundred to a thousand IU is needed in general but as we age we need much more. I like liquid formulations best because as you age D is more difficult to absorb. It is probably best to consume that thousand IU daily for consistency in improving all the things Vitamin D will do for you.

For example hip fracture drops 23% and other non-vertebral fractures drop 26%. We know about retarding bone loss as we age but did you that it works on the muscles as well? Lower extremity strength and improved walking were shown in several studies in older people. The risk of falling is improved 22%. It’s nice to have less muscle pain, walk a little faster and get out of a chair quicker than the other seniors. Arthritis is decreased in severity as well.

Many cancers are also significantly diminished in occurrence by increasing vitamin D. These include cancers of the colon, breast, and prostate. Other metabolic disorders include type 1 diabetes, hypertension, cardiovascular disease, possibly type 2 diabetes and multiple sclerosis.

Vitamin D is a potent modulator of activated T and B-lymphocytes, the workhorses of the immune system. Animal models show prevention of rheumatoid arthritis, and Crohn’s Disease of the bowel. Research has shown marked improvement in psoriasis as well.

If that isn’t enough, it is generally noted that there is a distinct improvement in well being and energy, often in the first week. All these improvements were reported in Endocrine News, a publication of the Endocrine Society in the August/September issue 2005 beginning on page 10.

It’s remarkable what you can do for yourself when you couple reliable information about health into action for your life. It’s not just good it’s thrilling. It’s the way life is supposed to be. 

It’s your time.

Dr. Joe

Introduction to Pancreatic Health

The Pancreas and the Sphincter of Oddi

The pancreas is the second largest gland in the human body and plays an important role in the digestive process. It is responsible for the production of insulin that controls the balance of glucose in the body. It also releases the digestive juices and enzymes necessary for digestion into the duodenum, a cavity at the beginning of the small intestine.

The cells of the pancreas secrete enzymes into a network of small ducts that ultimately drain into the pancreatic duct. The pancreatic duct merges with the common bile duct at the Ampulla of Vater. The pancreatic solution mixes with the bile and is forced through a muscular valve called the Sphincter of Oddi. The Sphincter of Oddi functions as a one-way spigot to allow bile and pancreatic juice to enter the upper intestine through the duodenum. The Sphincter of Oddi also prevents the contents of the gut from backing up into either the pancreatic duct or the common bile duct.

A properly functioning Sphincter of Oddi is critical to the health of the entire gastro-intestinal system – and necessary for a healthy body. Many scientists believe that Sphincter of Oddi Dysfunction (SOD) is the cause of many pancreatic diseases. So healing a malfunction of Sphincter of Oddi can reduce congestion and inflammation of the pancreatic gland.

The sphincter of Oddi is comprised of smooth muscle fibers that surround the end of the Pancreatic Duct and the end of the Common Bile Duct. Sphincter of Oddi Dysfunction may be related to either the pancreatic or the biliary segments of the sphincter, or both.

Sphincter of Oddi Dysfunction (SOD)

There are two overall factors which influence the proper functioning of the Sphincter of Oddi: anatomical (structural) integrity and functional ability.

For smooth performance, the anatomical integrity of the Sphincter of Oddi must remain intact. For example, a physical blockage of the may stop the smooth flow of pancreatic fluid and bile solution. Gallstones can cause the blockage of the Sphincter of Oddi. The digestive solution then becomes backed up into and increases the pressure in the pancreatic duct. The enzymes and bile start to digest the pancreatic cells causing severe inflammation, pain, cysts, and finally the death of pancreatic tissue.

If the mixture backs up into the bile duct the result may be hepatitis, jaundice, or inflammation. The anatomical narrowing or closing of the Sphincter of Oddi is relatively rare, but may be caused by gallbladder stones, severe inflammation or tumors. In these cases surgical care is necessary.

More frequently people have problems with the functional ability of the Sphincter of Oddi. A frequent functional problem involves spasms of the sphincter opening, or dyskinesia (In Latin “dys” means abnormal, “kinesia” means movement). Conventional medicine offers little in the way of diagnosis, treatment, and prevention at the beginning of SOD. Lack of diagnosis and treatment can cause serious complications like pancreatitis and gallbladder inflammation.

Sphincter of Oddi Dysfunction is believed to be a common cause of acute recurrent pancreatitis, and may account for up to one-third of unexplained cases.

Symptoms of Sphincter of Oddi Dysfunction include:

o Biliary pain felt in the middle or right part of the upper abdomen

o Pain radiating on the back at the lower tip of the scapula or right shoulder

o Pain accompanied by bloating, nausea, and vomiting.

o Pain precipitated by food or narcotics.

o The pain may vary in intensity and can last anywhere from 15 minutes to 4-5 hours.

Symptoms of episodic pancreatic pain include:

o Pain that is located in the upper abdomen on the left or right side

o Pain that radiates directly through the abdomen to the back

o Pain which is accompanied by bloating, nausea, and vomiting.

Sphincter of Oddi Dysfunction: Prevention and Treatment

Understanding the cause of the problem can help in prevention and treatment. Based on clinical evidence, scientific research and our personal medical experience, we speculate that three things are needed for the proper function of the Sphincter of Oddi:

1. Proper regulation

2. Normal structure

3. Normal quality and quantity of pancreatic juice and bile.

Blockages of the Sphincter of Oddi can be caused by multiple things: toxic substances, pancreatitis (inflammation of the pancreas), infection, parasites, fat deposits due to being overweight or obese, trauma, surgery, and cancer. Doctors have proposed that almost 20 percent of pain following gallbladder removal surgery may be connected to (SOD).

Two primary factors regulate the function of the Sphincter of Oddi: the nervous system and digestive hormones. However, various lifestyle issues can cause spasms of the Sphincter of Oddi, including: depression, stress and anxiety, some medications, recreational drugs (especially opiates), bad diet, bad combinations of food, “eating on the go”, hormonal changes, and lack of exercise. These elements influence the proper release and function of the digestive hormones secretin and cholecystokinin, which are the natural regulators of the Sphincter of Oddi.

To function properly, pancreatic enzymes require the pH of the duodenum to be slightly on the alkaline side. Because the food coming from the stomach has recently been acidified, the body must provide enough excess alkalinity in the duodenum for the enzymes to work. Sufficient amounts of water, minerals, trace elements, and bicarbonates have a crucial impact on the alkalinity, and therefore quality and quantity, of the pancreatic digestive enzymes. Certain lifestyle factors can cause metabolic acidosis, or an excess of overall acidity in the body. Bad diets including processed food, meat and potatoes, fried foods, soft drink colas, sugar and starches build up acids in the body. Body acidity can be increased by smoking, alcohol, drugs, and Candida-yeast overgrowth. If the body is too acidic, the pancreatic juice and bile cannot function properly.

Processed Food and Digestive Problems

In the past sixty years, the United States has seen a significant increase of people with digestive problems. The increased digestive problems are related to what has been called the “nutritional revolution”. This term refers to the gradual move of much of the population to a diet of highly processed food.

Such processed food, or “dead” food, is full of artificial chemicals which cause excess body acidity and nutritional deficiencies. Additionally, processed food does not contain the living enzymes, fiber, essential vitamins, minerals and trace elements necessary for the body to produce the needed quality and quantity of digestive enzymes. At the same time, toxic, aggressive, acidic bile additionally suppresses the pancreatic cells and keeps them from producing digestive enzymes or, in worse scenario, activate the enzymes to digest their own pancreas. The lack of quality pancreatic digestive enzymes leads to an imbalance in the body. And the body’s imbalance leads to spasms of the Sphincter of Oddi and creates a vicious cycle of digestive problems.


Few of the discussed factors affecting the Sphincter of Oddi occur in a vacuum. Many of the problems overlap and together they can cause serious health problems, ranging from hidden pancreatic insufficiency to a complete shut down of the function of vital organs such as the liver and the pancreas.

The first symptoms of SOD should trigger an internal alarm which says that a change of lifestyle is necessary. Making lifestyle changes can help prevent the exacerbation of the gastrointestinal problems. Our clinical experience shows that there is no panacea or magic treatment when dealing with SOD. But the following can be helpful in healing:

o Dietary changes to heal the body

o Herbal medicine

o Nutritional supplementation

o Drinking healing mineral water made from genuine Karlovy Vary Thermal Spring Salt (it is available in the United States)

o Acupuncture

o Whole body cleansing with the restoration of friendly intestinal flora

o Professional help quitting alcohol, smoking, drugs, bad eating habits, craving, overweight, etc.

“The time to repair the roof is when the sun is shining”.

John F. Kennedy

The information on this article is presented for educational, informational purposes only. It is not intended as a substitute for the diagnosis, treatment and advice of a qualified licensed professional.

Some Important Facts and Myths About The Menstrual Cycle

Menstruation is a normal process that involves bleeding from the uterus of a woman for a particular period once every month. In this article we will discuss some important facts and myths associated with menstrual cycle.

Menstrual cycle also known as monthly cycle is a monthly process in which the female reproductive organs get ready for the possibility of pregnancy. The main events in the endometrium and monthly cycle are ovulation, the thickening of the endometrium and menstruation. The length of the monthly cycle can be anything from 20 to 36 days. But the average menstrual cycle is about 28 days long. Over 70% of all women menstruate approximately every 28 days. Remaining women experience considerable variations from the average.

It is expected that a woman who starts to menstruate at the age of 13, stop at 50. They may menstruate three or four time in the first year. A middle aged woman’s menses may also become irregular before the menopause.

Sudden shock, worry or joy can affect the cycle and may make the monthly period come late or early or prevent it altogether. There are woman who are regular to time.Other are never quite certain when to expect the period. Influence of climate, way of living, constitutional and hereditary tendencies may also cause variations.

There are many myths associated with menstruation. There are many dos and don’ts to be followed during this period like you must not wash your hair or have a bath or play sports etc. Some religious and cultural restrictions are also imposed during menses like the girls cannot enter the kitchen or do worship in temples etc.

Excitement during the monthly cycle is quite significant in woman. Sometimes the desire for sex is quite significant in woman during this period. Several medical researchers have conclusively established that intercourse performed during menstrual period is not harmful at all. If the partners do not have any problem, they can merrily go ahead. In addition, there is an advantage that the chances of conception are negligibly during this period.

Still it is considered unhygienic in many communities to indulge in sex during this period. There is, however, no doubt that medically such acts are not prohibited but obviously they would cause much inconvenience to both.

Moderate activities and exercises during this period helps relieve cramps. If you are bleeding a lot, it is a good idea to use a sanitary towel for extra protection. You can carry on all your regular activities as normal.

Disclaimer: This article is not meant to provide health advice and is for general information only. Always seek the insights of a qualified health professional before embarking on any health program.

Copyright © Anna Patrick, All Rights Reserved. If you want to use this article on your website or in your ezine, make all the urls (links) active.

Top 5 Tips – Acid Reflux Remedies

Acid reflux has symptoms similar to that of heartburn and is also termed as Gastro esophageal Reflux Disease (GERD), Reflux and Stomach Acid amongst other things. The problem can become dangerous in the long run as the acid can cause considerable damage as it wear’s away the lining of delicate esophagus. The problems of swallowing and scar tissue may arise if not controlled early. Main symptoms of the condition include breathing problem, wheezing, dry coughing, bitter taste, tight throat, chest pain, halitosis and stress. Here are my top 5 natural remedies that are very helpful in containing acid reflux symptoms:-

1. Apple Cider Vinegar: – This is my number one choice as it cost virtually nothing to try and has a high success rate! It is an amazing natural remedy for acid reflux as it helps combat the symptoms almost instantly. It can be simply obtained from most general stores or specialist natural food shops. It is a counterproductive method of treating acid reflux because of its proper control. One can make an effective solution at home by just adding a teaspoon of vinegar to half glass of water (be prepared for the bitter taste!). Ideally it is best to take the solution before dinner or at the time of eating dinner.

2. Ginger Root: – It helps in absorbing acid from the stomach and calm the nervous system. Taking one ginger capsule daily after dinner has been reported for sufferers to see the difference. It can also be used in tea leading to relax muscles which can help to relieve the condition. Try to purchase fresh root of ginger or powdered ginger can also be used. Pickled or candled ginger is really effective way to treat acid reflux. Just dissolve 10 to 15 drops of ginger powder to half glass of water and don’t forget you have full control of the solution strength so you can slowly increase – decrease to suit needs but it is always recommend to start with lesser amount.

3. Aloe Vera: – Has been around for and recognized as a very effective “cure” of a number of ailments for centuries. As a natural remedy it helps in the soothing of inflamed and irritated esophagus. One can obtain the juice from natural food supermarkets but be sure with the quality of aloe Vera. Take a quarter cup of aloe Vera juice before eating and gauge the difference. Natural remedies do not have any side effects thus prove to be very attractive & effective way of curing acid reflux.

4. Fresh Fruits:- Diet plays a major part in our well being so take fresh vegetables and fruits on regular basis like bananas, pineapples, apples, fig, cabbages, nuts, carrot and almonds. It helps keep control of acid reflux by improving and making digestive system, very strong.

5. Bed wedge: – Sleeping position and relaxation plays an important role in treating acid reflux symptoms especially when sleeping or lying down. Bed wedge pillows can definitely help sufferers by elevating the torso. Nowadays high quality, comfortable and safe wedges are available that are specially designed for heartburn patients. These bed wedges are featured with size, designed, and comfort in mind. It is a comfortable method of improving sleeping and as we know having a proper sleep can help in avoiding many diseases according to some doctors. Acid reflux can cause & lead to digestive disorders and treating the symptoms with medication is sometimes unavoidable in some cases, but treating it with natural herbs or positioners is a great way to help overcome the symptoms. In most cases patients experience no side effects from these non prescriptive alternatives.

Headaches – What to Do

The primary thing I want to say about headaches is there are different types. There is not one general “headache” that everyone gets.

Something that is quite commonly overlooked and possibly dismissed as a cause is the malfunction of bones in the spine and in the upper back area. As a Chiropractor in Bellevue, I often see this.

When bones of the spine lose their normal position or motion, sensitive nerves and blood vessels to the the head and neck can be adversely affected. When spinal nerves and related tissues are stretched or irritated, they can produce a variety of headaches. Aspirin and medications may cover up the symptoms and/or the warning signs, but do not correct the underlying structural cause of the headache.

In the field of chiropractic we are most concerned with addressing the underlying structural cause of headaches and correcting these causes so that the person can function again without all the structural symptoms of headaches.

The spine has a natural, normal curve which, if doesn’t exist will cause the nerves to react badly and thus give one headaches AND MANY OTHER SYMPTOMS. Bringing the spine back to a natural form will enable the nerves to communicate with the tissues, muscles, organs AND HEAD and thus decrease likelihood of headaches.

A comprehensive U.S. study reported that 10 million Americans suffer from moderate to severe disability from various forms of headaches. Some estimates suggest 25% of the population has a headache right at this very moment!

If a thorough examination reveals reduced range of motion, loss of normal spinal curves or mechanical restrictions, chiropractic care should be considered as an option. After a complete examination, you’ll receive a care program designed for your unique spinal problem.

Specific chiropractic adjustments can help correct spinal joint dysfunction created by various chemical, emotional and physical stresses in our lives.

Many patients report headache relief. Others find that the correction of their condition takes longer because their spinal problem has existed undetected for many years. Every patient responds differently and of course results vary but I have treated thousands of patients here in Bellevue with very good results.

Because so many people have headaches people tend to think that getting a headache is just a normal part of life. This is not true. Headaches, like most types of pain, are an indicator that there is something wrong going on in the body. Stress, toxic fumes, certain foods, preservatives, alcohol and injury are common culprits.

An Overview of Abdominal Pain

We can hardly find a person who has not suffered from abdominal pain at least once in his life. Abdominal pain may be of different types, caused by a number of causes, which range from simple to life threatening conditions. Irrespective of the cause and the severity, it is troublesome for the sufferers and the caregivers, and hence forces them to go for a medical consultation.

Abdomen is the part of the body between the thorax and the pelvis, which is separated from the thorax by a diaphragm and from the true pelvis by an imaginary plane. Anteriorly the anterior abdominal wall supports it and posteriorly, the spine and back muscles. Skin, superficial fascia, deep fascia, muscles, layers of fascia (Fascia transversalis), extra peritoneal connective tissue and the outer layer of peritoneum form the anterior abdominal wall. The abdominal cavity extends upwards in to the concavity of diaphragm and downwards in to the pelvic cavity. Since there is overlapping by the ribs in the upper part and pelvic bones in the lower part, the exact size of the abdominal cavity is masked.

The abdomen contains digestive organs like stomach, small intestine, large intestine, liver, gall bladder, pancreas, and uro-genital organs like kidneys, ureters, bladder, fallopian tubes, ovaries and uterus. It also contains organs like spleen, adrenal glands, mesenteric lymph nodes, blood vessels and lymphatic vessels etc. Ligaments formed by peritoneal tissue attach these organs and keep them in position. The peritoneum is a large serous membrane lining the abdominal cavity and has got two layers. The outer layer is called parietal peritoneum and it covers the inner surface of the abdominal wall and the inner layer is called visceral peritoneum, which covers the organs and restricts their mobility. These two layers of peritoneum are connected by omentum and mesentery through which the organs get blood supply and nerve supply. The cavity formed by the two layers of peritoneum is a potential space, called peritoneal cavity, which is moistened by a serous fluid to avoid friction of abdominal contents.

Types of abdominal pain:

Depending upon the origin, there can be different types of abdominal pains.

1. Visceral pain (Splanchnic pain): This is caused by stimulation of visceral nerves by a noxious agent, which may be living organisms, toxins, mechanical stimuli like stretching, excessive muscular contraction or an ischaemia. Visceral pain is dull in nature and is poorly localized and felt in the midline.

2. Parietal pain: This is also called somatic pain. Here, some noxious agents stimulate the parietal peritoneum causing a sharp and localized pain. This type of pain is worse by movements.

3. Referred pain: Here the pain, though originating in other sites, is felt in the abdomen due to common nerve supply. Example: Conditions like pleurisy, pericarditis, torsion of testes etc. cause pain in abdominal region due to supply of nerves having the same root value (Spinal segments).

It has already been mentioned that abdominal pain is agonizing for the affected person and his family members irrespective of its cause and severity. Intensity of pain may not always indicate the seriousness of the condition because severe pain can be from mild conditions like indigestion and flatulency, where as mild pain may be present in life threatening conditions like perforation, cancer etc. Hence proper diagnosis and management is very essential.

Modes of presentation of abdominal pain:

1. Acute abdominal pain: Here, the pain is sudden with a rapid onset and short course, which may be due to severe or mild lesions. The term ‘acute abdomen’ is used in conditions wherein the patient complains of acute abdominal symptoms that suggest a disease, which definitely or possibly threatens life and may or may not demand urgent surgical interference. Acute pain may be colicky or non colicky in nature.

2. Chronic abdominal pain: Here the pain is long lasting and recurrent or characterized by long suffering. The complaints persist for a long time with fluctuations in the intensity of symptoms.

3. Sub acute abdominal pain: As the name indicates the duration of pain lies between acute and chronic conditions.

4. Acute exacerbation: In this state, a person having chronic symptoms comes with sudden onset of symptoms that simulate an acute condition. In such cases the patient or the bystanders give the history of chronic sufferings.

Causes of abdominal pain:

The etiology of abdominal pain can be discussed under the following headings.

A. Pain due to lesions in the abdomen: Example: Gastritis, Duodenitis, Appendicitis, Peritonitis, Pancreatitis, Intestinal obstruction, Renal colic, Cholecystitis, Gall stones with obstruction, Peptic ulcer, Intestinal perforation, Non ulcer dyspepsia, Food allergy, Hepatitis, Liver abscess, Mesenteric lymphadenitis, Inflammatory bowel diseases (Ulcerative colitis, Crohn’s disease), Dysentery, Cancer of the gastro intestinal tract (GIT), Abdominal TB, Abdominal migraine, Acute regional ileitis, etc.

B. Pain due to metabolic and general problems: Example: Poisoning, Renal failure, Diabetes, Thyroid problems, Hyper parathyroidism, Porphyria, Drugs, Lead colic, Black widow spider bite, Blood diseases, Malaria, Leukemia, Peri arteritis nodosa, Hereditary angioedema, Cystic fibrosis.

C. Pain due to lesions outside the abdomen (Referred pains & neuralgic pains): Here the pain is referred from other sites due to common innervations. Example: Pneumonia, Heart attack, Sub acute bacterial endocarditis, Torsion of testes etc. Pains as a result of some neurogenic lesions are also included in this category. Example: Herpes zoster, Spinal nerve root pains, Tabes dorsalis, TB spine, Abdominal epilepsy, etc.

D. Functional pain: Here, the pain comes without any lesions, mostly due to some psychological causes. Example: Panic disorder, School stress, Somatisation disorder, History of sexual abuse, Irritable bowel syndrome.

E. Pain due to lesions in the urinary tract: Both upper and lower urinary tract lesions cause abdominal pain. Example: Urinary tract infection, Cystitis, Pyelonephritis, Urinary retention, Renal colic, Ureteric colic.

F. Pain due to gynecological and obstetrical problems: Even though the gynecological organs are situated in the pelvis, most of the lesions present with pain in lower abdomen. Example: Menstrual colic, Ruptured ectopic gestation, Acute salpingitis, Endometriosis, Endometritis, Pelvic inflammatory disease, Torsion of polyp, Pelvic abscess, IUCD pain, Puerperal infection.

G. Causes in children: In children there are some common causes, which are worth mentioning. Example: Babies colic, Lactose intolerance, Milk allergy, Intussusception, Volvolus, Torsion of testes, Accidental swallowing, Streptococcal throat infection, Congenital megacolon, Overfeeding, Food allergy, Aerophagy.

H. Non specific abdominal pain: Here, no immediate cause is found even after history taking and investigations.

In about 35 to 40% of cases of abdominal pain, the cause may not be identified easily and hence treated symptomatically. But, if the pain persists along with the appearance of other signs and symptoms that indicate the underlying cause, it should be identified as early as possible to manage the case properly.

Provisional disease diagnosis:

Here the probable condition causing abdominal pain is diagnosed by considering the history, signs and symptoms along with other clinical findings.

Lab investigations:

This includes several diagnostic procedures that can help for the final disease diagnosis. The choice of investigation depends upon the signs and symptoms that indicate a probable condition. The suitable investigation helps to reach a final diagnosis.

Example: Routine blood, Routine urine, Blood biochemistry, Stool examination, X-ray Barium x-ray Ultrasonography, Endoscopy of GIT, CT scan, MRI scan, Gastric acid secretion studies, Laperoscopy, Mucosal biopsy, ECG, Excretory urography, ERCP, IVP, Exploratory laparotomy etc are some useful investigations.

Final disease diagnosis:

After doing necessary investigations, the disease or the condition causing abdominal pain is diagnosed by correlating with the clinical findings and the history of the patient. In case of a diagnostic dilemma, a team of doctors are involved in the diagnosis and management.

Compression Sleeves Aid Lymphedema Patients

Lymphedema is a medical condition causing chronic swelling of the body. Doctors often recommend compression sleeves or stockings to reduce inflammation after the patient receives other therapy.

Sleeve Features

These sleeves are available in Lycra and nylon and should be worn every day under a medical professional’s direction. Compression sleeves may be bought without a prescription through a pharmacy or online store. Different sizes and elasticities are on the market to fit both men and women. Custom-designed sleeves may be special ordered for those who cannot find the exact model suggested buy their doctor.

Once available in only sterile white, compression sleeves now come in a variety of colors and styles. Some brands even offer zebra stripes, lace, festive designs and floral prints, which look more like a fashion statement than edema treatment. These newer versions are breathable and more comfortable than the old-school variety. Depending on the manufacturer, moisture wicking is also featured to prevent excess perspiration beneath the sleeve.

Trying to pull on these special garments may be challenging for those affected by hand and finger swelling or arthritis and the elasticity of compression. Donning gloves are helpful in putting sleeves on, allowing for better grip on both stockings and sleeves. Resembling dishwashing gloves, they are made of rubber and usually extend just above the wrist. Ridges on the exterior help catch the slippery, stretchy fabric, making it faster and easier to pull on.

Another product available that assists with putting on compression sleeves is a slide or slippie. The arm is placed into an oversized sleeve, then the compression sleeve is slipped over it. The slide is easily pulled out by hand or hooking it onto a fixed object, like a doorknob. The compression sleeve stays on the arm and the slide comes out.

For those with circulation or medication issues that result in easy bruising, slides and donning gloves also prevent fabric from snapping back against the skin while pulling and losing grip on sleeves.

Compression Gloves

Edema may be limited to the wrists and hands, making sleeves ineffective or cumbersome. Specially made gloves are worn in these cases. The fingertips or area beyond the knuckles are removed to allow for finger dexterity, mobility and functional grip. While fabric choices are usually limited to various shades of tan rubber or nylon, some manufacturers also offer colored Lycra material.

Medical Conditions

People with missing or damaged lymph nodes are most susceptible to lymphedema. This can be caused naturally or by surgery for cancer or other health problems. Common swelling areas include the arms and upper body, especially for breast cancer survivors. Risk for lymphedema is also hereditary, especially where poor circulation is a factor. In some remote parts of the world, a parasite called filariasis may cause the condition, as can cellulitis.

Lymphedema is sometimes called elephantiasis, or misnomered elephantitis, for the disfiguring effects in extreme cases.

Can I Treat Cholesterol Issues Naturally?

Low intensity walking has remarkable effects on controlling cholesterol even a tread mill or vibration walker machine can be a solution. Reducing your weight by 10 pounds causes the average cholesterol levels to drop about 5%. Of course, it’s always good to cut back on sugars which include fruit, and drink alcohol moderately, as well as reduce caffeine and stop smoking cigarettes.

Taking these measures is very helpful but watching your diet and supplementing with vitamins is a crucial key to better health. The following suggestions are effective natural ways to help improve cholesterol that I have found in my research on cholesterol problems.

Niacin and Vitamin B Solutions:

Cholesterol is being controlled by some people who personally use a diet low in fat and high in oat bran – plus daily doses of the vitamin niacin – vitamin B. I prefer niacin, a vitamin of the B-complex group, in preference to statin drugs, because 1) Statin drugs are expensive and 2) the long term effects of statin are not known. A doctor in a prestigious Viennese Clinic told me that last year.

Start by taking a daily multivitamin supplement with an additional 1,000 µg of folic acid, 6 mg of vitamin B-6, and 500 µg of vitamin B-12. The B vitamins “normalize” blood levels of homocysteine, – an amino acid that is as much a predictor of heart attack risk as is cholesterol. Add Vitamin C and Vitamin E and Arginine (a powerful amino acid that gets converted to nitric acid which encourages the blood vessels to dilate for greater blood flow) to the diet. Check your cholesterol levels including your total and LDL “bad” cholesterol and HDL “good” cholesterol as well as your triglyceride levels. Aim to get your total cholesterol below 200 with an LDL level no higher than 100.

Quality safe sources of these are not to be bought over the counter any more so it becomes necessary to be very fussy about the sources of these supplements.

More Facts on Niacin:

Niacin has been known to lower total and LDL cholesterol and triglycerides. Niacin also raises HDL and lowers the levels of two other dangerous particles – lipoprotein sub fraction alpha, or lp(a) cholesterol, and small, dense LDL cholesterol, both of which are especially prone to lodging in artery walls.

You could take niacin three times a day with each meal and have your liver enzymes checked every six months, since the high dosage required for cholesterol reduction can cause liver disturbances. Niacin can also cause flushing and heart irregularities so a doctor’s supervision is needed.

Dietary Fats:

To continue the reduction of cholesterol it is recommended that you reduce dietary fats and limit your total fat calories by 30 %. For example, reducing the amount of saturated fats you eat in foods such as butter, cheese, meats, and baking products and supplementing with fish oil can help lower cholesterol and triglycerides. Eating all the fish you want, especially fatty fish, with heart-protective omega-3 fatty acids is a healthy choice. Olive oil is a good oil to use but cut back on trans-fat commonly known as “hydrogenated” or “partially hydrogenated” fats such as vegetable oil.

Trans-fat raises levels of LDL “bad” cholesterol and lowers levels of protective HDL “good” cholesterol. Fast food restaurants which fry their products in hydrogenated fat are another source of trans fat. To reduce you intake of saturated fats, substitute avocados and nuts for meat whenever possible. Consume skim milk instead of low-fat milk products and remove skin from chicken and eat lean cuts of meat to help reduce dietary fats.

A good aid to reduce the body’s production of fats from the carbohydrates that are consumed is to get plenty of tamarind/garcenia. It also reduces the appetite too.

Avocados Can Be A Help:

Avocados are rich in oleic acid, and mono-unsaturated fat which is a good fat. Avocados are known to help lower cholesterol. According to a study conducted by researchers from the University of Toronto, this type of fat found in avocados boosts levels of HDL (“good”) cholesterol without raising levels of LDL (“bad”) cholesterol.

Another study found that people with moderately high cholesterol levels who ate a diet high in avocados for one week had significant drops in total LDL cholesterol levels, and an 11% increase in their HDL cholesterol levels.

Treat Bile with Oats:

You can lower your cholesterol level hugely by eating oat or rice bran. When you eat one cup of oat bran or one and a half cups of oatmeal, the bran binds with the bile in your digestive tract. The bile is then excreted in bowel movements. Other foods high in soluble fibre, such as dried beans, raisins, prunes and aloe vera, as well as figs may all help eliminate bile. You can also take 3 tbsp of Metamucil daily.

Soy and Aloe Vera:

Eating soy can yield another huge drop in cholesterol, by eating approximately 25 grams of soy protein a day. Aloe Vera can help rebalance blood chemistry which lowers cholesterol. A study that was done on Aloe Vera in Korea had very dramatic results reducing LDL by 40 – 80% and triglycerides dropped 20 – 70%. Aloe Vera can help not only with cholesterol rebalancing but it may also aid in restoring the immune system and replenishing lost nutrients, just be sure that the Aloe Vera you intake is of good quality so that your body really is getting the healthy nutrition it needs.


Guggulis an extract from the Mukul Myrrh tree, which is native to India. The Indian government was sufficiently impressed to approve guggul as a treatment to lower cholesterol. In one study scientists found that guggul both lowered cholesterol and also protected against the development of hardening of the arteries. In another Indian study, 40 patients with high cholesterol, who took a 25 (mg) supplement of Guggul three times a day for 16 weeks, cut their total cholesterol by an average of 21% and levels of HDL cholesterol rose by 35%. If you have high cholesterol, ask your doctor about taking guggul supplements.


Chinese researchers found that the Hibiscus flower may help your heart in a similar way to red wine and tea, due to antioxidant properties that help control cholesterol levels and reduce heart disease.

They found rats fed hibiscus extract had lower levels of cholesterol in their blood. Experiments have shown that compounds extracted from red wine and tea reduces cholesterol and lipid build-up in the arteries of rats. This was the first study done to show that hibiscus extract has the same effect. Hibiscus is also used to treat hypertension and liver disorders.

What Causes Erectile Dysfunction and What Can You Do?

Erectile dysfunction – the inability to perform satisfactorily sexually – is experienced by one in five men and is increasingly common with age. The good news is that simple lifestyle changes may be enough to ward off the problem. That’s because new research indicates erectile dysfunction is much more common among men with diabetes or other risk factors for heart disease and those who were physically inactive. Regular exercise and a healthy diet may greatly improve erectile dysfunction by reducing the risk factors.

Erectile Dysfunction More Common Than You Think. Many men in mid life find for the first time they are not able to perform as confidently as they did when they were younger.

Most men by age 40 have experienced inconsistent erections, or sometimes only brief erections.

Over 50 per cent of men between 50 and 70 years of age experience varying degrees of erectile dysfunction, though it is not an inevitable consequence of normal aging.

Erectile Dysfunction – You Don’t Have to Put Up With It

The great news is there is nothing inevitable about ED. Sex is too important a part of life to just “give up”. Research shows maintaining a good sex life (rated as twice a week or more) is actually good for men’s health. A top sex expert says in general, men are on a ‘five day cycle’ where sex is concerned (ie wanting it every five days) – whereas women are more likely to be on a ’10 day cycle’. Post-Viagra, there’s no need to feel bashful. Men are now more willing to admit to needing a boost and taking action to get it.

Erectile Dysfunction Causes & Treatments

Erectile dysfunction – also dubbed ED – is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance.

Most men by age 40 have experienced inconsistent erections, or sometimes only brief erections.

Over 50 per cent of men between 50 and 70 years of age experience varying degrees of erectile dysfunction, though it is not an inevitable consequence of normal aging.

Frequent erectile dysfunction can cause emotional and relationship problems, and often leads to diminished self-esteem.

Some form of erectile dysfunction is experienced by:

40 percent of all 40-year-olds

50 percent of all 50-year-olds

60 percent of all 60-year-olds

15 percent are unable obtain any erections at all

Causes of Erectile Dysfunction

7 per cent of erectile dysfunction is caused by disease, particularly:


Kidney disease



Cardiovascular (angina and myocardial infarction)

Neurological disorders

Between 35 and 50% of men with diabetes experience erectile dysfunction.

10 – 20 percent of erectile dysfunction is caused by psychological factors, notably:





fear of sexual failure

Other causes include pelvic surgery or trauma especially

radical prostate and bladder surgery for cancer

smoking (restricts blood flow in veins and arteries)

Or the side effects from prescription drugs particularly

blood pressure drugs




appetite suppressants

the stomach ulcer drug cimetidine

Since an erection requires a precise sequence of events, erectile dysfunction can occur when any of the events is disrupted. The sequence includes nerve impulses in the brain, spinal column, and area around the penis, and response.

Many men who experience physical causes for erectile dysfunction also experience psychological symptoms like stress, anxiety, guilt, and depression as a result.

Secondary Premature Ejaculation

After years of normal ejaculation, sometimes the duration of intercourse grows progressively shorter. Some men with severe Premature Ejaculation will ejaculate during foreplay, even before penetration. This can be devastating. Secondary Premature Ejaculation is due to physical causes, usually involving the penile arteries or veins or both.

Lifestyle Factors and Erectile Dysfunction

The controllable risk factors for arteriosclerosis like:

Being overweight

Lack of exercise

High cholesterol

Cigarette smoking

High blood pressure

Will often produce erectile failure before progressing to affect the heart.

The heart’s coronary arteries are 1.5 – 2.0mm in diameter; the penile arteries are 0.6 – 0.7mm in diameter – one third the size of the coronaries – and can become clogged sooner. Unless there is a change in lifestyle, coronary artery disease may follow impotence within a few years.

What can you do?

Herbal Male Enhancement Products

Herbs that aid normal erections have been known and used for thousands of years, since men first saw the vigor and strength of the most sexually active animals and adopted the natural herbs he saw them grazing on for his own natural male enhancement.

Modern science has identified the key active ingredients in the herbs early man and his stallions and goats ate indiscriminately. Those actives can be isolated, extracted, measured, and encapsulated in natural health products which are tested for guaranteed quality.

Thousands of men and women are discovering the benefits of natural sex boosters like tribulus terrestris, horny goat weed, avena sativa, maca, muira puama, and ginseng, taken as dietary supplements.

Lifestyle Changes to help Reduce Erectile Dysfunction

Change your Prescription Drug

Discuss with your doctor whether an alternative drug would suit your needs and reduce erectile dysfunction side effects.

Deal with Stress

Talk to your doctor about stress, anxiety or depression

Exercise regularly

Eat regular meals low in fat and salt and high in fruit and vegetables

Reduce alcohol intake,

Get adequate sleep,

Taking steps to deal with personal conflict

Stop smoking

Stop alcohol abuse

Oral Medicines for Male Enhancement

Oral medications for male enhancement have changed the whole arena of mens sexual health by making it acceptable to admit to erectile dysfunction and seek treatment. The key ones are, Viagra, Levitra and Cialis.

All three medicines work in much the same way – by enhancing the effects of nitric oxide as a chemical messenger that relaxes smooth muscles in the penis, increasing the amount of blood and allowing an erection to sexual stimulation.

If you’ve had a heart attack, stroke or life-threatening heart rhythm during the last six months or if you are on a nitrate medication, don’t take them.

Other Male Enhancement Methods

Method Description

Prostagland in E Needle Injection Therapy : Fine needle injection into the side of the penis producing an erection in five to 20 minutes that lasts about an hour. Side effects can include scarring. The cost per injection can be high.

Vacuum Devices: Self administered pump and vacuum system.

Penile Implants: Not recommended unless other methods have been considered or tried.

Vascular Surgery: Usually reserved for men whose blood flow is blocked in the pelvic area. Long term success of this surgery is unclear.

First Aid In Heart Attack

Lack of exercise, eating instant foods, lack of rest and stress is a factor that is often experienced by busy people. And anyone would know, living an unhealthy lifestyle will have a negative impact on health, one of which is heart disease. Heart attack is still ranked first deathly disease in the world.


Heart disease caused by narrowing of blood vessels due to cholesterol or a pile of other proteins derived from food intake in our body. This buildup causes the coronary arteries become stiff. Rigidity is referred to as atherosclerosis. Atherosclerosis occurs when a buildup of plaque or fatty deposits occur in arterial walls, thereby narrowing the arteries and impede blood flow to the heart. Coronary artery disease (CAD) is that basically leads to most heart disease.

Blockage of one or more of the coroner artery can cause a heart attack suddenly. The reason for the heart to ask exceeds the available oxygen causing a heart attack. Why? If the heart muscle does not receive oxygen for a long time, the surrounding organ can be damaged. Unlike other organ, the heart muscle does not regenerate. The longer a heart attack strikes, the more the network to be broken so that the cause of death.


Many people do not realize that he had a heart attack, because it was sudden. Chest pain is often underestimated by some people. Chest pain is one symptom of heart disease. Some to watch out for physical complaints as a symptom of heart disease is chest pain, heart palpitations, fatigue, shortness of breath, there is a history of frequent fainting, shortness when sleeping on your back, some organs of the body was blue and swollen stomach and legs.


Do not panic! That’s the main thing to remember someone when dealing with heart attacks. Try to cough and hold with a vengeance. Every time before the cough, pull a deep breath, then cough with strong power, deep and long, like going out phlegm in the chest. Every interval of two seconds long deep breath and then coughed again. Keep going until help arrived or your pulse normal.

The aim is to enter deep breath oxygen into the lungs. While the goal is to suppress cough heart so that blood flow returned to normal.